| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,391 |
1,069 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
788 |
672 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
220 |
$17K |
| 99000 |
|
776 |
696 |
$3K |
| 99442 |
|
39 |
28 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
76 |
67 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
73 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$235.62 |
| 99050 |
|
18 |
17 |
$220.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$190.28 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
41 |
$99.85 |
| 3074F |
|
61 |
55 |
$25.00 |
| 3078F |
|
16 |
15 |
$0.00 |
| 3008F |
|
25 |
24 |
$0.00 |